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JILL REENA GUSTAFSON CNM
NPI 1992224166
Advanced Practice Midwife in Boise, ID

Active since September 19, 2017
4948 W KOOTENAI ST STE 100, BOISE, ID 83705(208) 510-0261(208) 225-4243 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Jill Reena Gustafson Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL REENA GUSTAFSON CNM (NPI 1992224166) is an individual advanced practice midwife in Boise, Idaho, licensed in Idaho (56670) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1992224166
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJILL REENA GUSTAFSONCredential: CNM
Location Address4948 W KOOTENAI ST STE 100Boise, ID 83705-2002
Mailing Address4948 W Kootenai St Ste 100Boise, ID 83705-2002 · (208) 510-0261 · Fax (208) 225-4243
Phone(208) 510-0261
Fax(208) 225-4243
Sole ProprietorYes
Enumeration DateSeptember 19, 2017
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1992224166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in ID · 56670
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedRegistered NurseTaxonomy 163W00000X · License 56670 (ID)
4948 W KOOTENAI ST STE 100, Boise, ID 83705
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHELLIE ANN OAKLEY MPT
Physical Therapist
4948 W KOOTENAI ST STE 100
BOISE, ID 83705
Ada County (208) 982-0492
STUART JAMES BEALL LMT
Massage Therapist
4948 W KOOTENAI ST STE 100
BOISE, ID 83705
Ada County (208) 371-1410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Gustafson's NPI number?

The NPI number for Jill Gustafson is 1992224166. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Jill Gustafson located?

Jill Gustafson practices at 4948 W Kootenai St Ste 100, Boise, ID 83705. The listed phone number is (208) 510-0261.

What is Jill Gustafson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

When was this NPI record last updated?

The NPPES record for Jill Gustafson was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.